Crack and motor development of babies living in an assistance shelter

Main Article Content

Mariana Zabadal Midon
Laís Rodrigues Gerzon
Carla Skilhan de Almeida

Abstract

Introduction: The baby motor development happens naturally with the complex interaction of the body, performing tasks in its context. When the body suffers negative external influence, such as the use of drugs by the mother during pregnancy, and develops in an environment different from home, such as shelters, it is questionable how the motor development would be. Objective: To evaluate the motor development of babies living in welfare shelters, children of crack users during pregnancy; to verify if there is an association of motor delay in these babies; and to describe the environment in which they were inserted. Methods: This is a cross-sectional study, with a convenience sample. There were 29 babies between three and 16 months old. Twenty-two of them were exposed to crack during pregnancy (Crack Group) and the remaining seven were not (Non-Crack Group). All were living in a specific shelter. To assess broad motor development, the Alberta Infant Motor Scale (AIMS) was used. The Affordances in the Home Environment for Motor Development - Infant Scale (AHEMD-IS) was used to assess home environment opportunities. Results: In the crack group, the developmental delay was confirmed in 36.4% cases and suspected in 18.2%. Most babies in the crack group were typical (45.5%). There was no statistically significant association between crack group and developmental delay, nor with age and sex. Conclusion: The development of babies in the crack group was similar to the non-crack group and the opportunities in the environment were reasonable for the baby development.

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How to Cite
Midon, M. Z., Gerzon, L. R., & Almeida, C. S. de. (2021). Crack and motor development of babies living in an assistance shelter. ABCS Health Sciences, 46, e021215. https://doi.org/10.7322/abcshs.2019159.1428
Section
Original Articles
Author Biographies

Mariana Zabadal Midon, Universidade Federal do Rio Grande do Sul (UFRGS) - Porto Alegre (RS), Brazil

Fisioterapeuta

Laís Rodrigues Gerzon, Universidade Federal do Rio Grande do Sul (UFRGS) - Porto Alegre (RS), Brazil

Fisioterapeuta, Doutoranda do Programa de Pós-Graduação Saúde da Criança e do Adolescente, (UFRGS) -  Porto Alegre (RS), Brasil.

Carla Skilhan de Almeida, Departamento de Educação Física, Fisioterapia e Dança, Universidade Federal do Rio Grande do Sul (UFRGS) - Porto Alegre (RS), Brazil

Fisioterapeuta, Professora no Departamento de Educação Física, Fisioterapia e Dança, (UFRGS) -  Porto Alegre (RS), Brasil.

References

1. Hadders-Algra M. Early human motor development: From variation to the ability to vary and adapt. Neurosci Biobehav Rev. 2018;90:411-27. http://doi.org/10.1016/j.neubiorev.2018.05.009

2. Adolph KE, Franchak JM. The development of motor behavior. Wiley Interdiscip Rev Cogn Sci. 2017;8(1-2). http://doi.org/10.1002/wcs.1430

3. Pereira KR, Valentini NC, Saccani R. Brazilian infant motor and cognitive development: Longitudinal influence of risk factors. Pediatr Int. 2016;58(12):1297-1306. http://doi.org/10.1111/ped.13021

4. Tau GZ, Peterson BS. Normal development of brain circuits. Neuropsychopharmacology. 2010;35(1):147-68. http://doi.org/10.1038/npp.2009.115

5. Santos JF, Cavalcante CMB, Barbosa FT, Gitaí GLD, Duzzioni M, Tilleli CQ, et al. Maternal, fetal and neonatal consequences associated with the use of crack cocaine during the gestational period: a systematic review and meta-analysis. Arch Gynecol Obstet. 2018;298(3):487-503. http://doi.org/10.1007/s00404-018-4833-2

6. Parcianello RR, Mardini V, Ceresér KMM, Langleben DD, Xavier F, Zavaschi MLS, et al. Increased cocaine and amphetamine-regulated transcript cord blood levels in the newborns exposed to crack cocaine in utero. Psychopharmacology (Berl). 2018;235(1):215-22. http://doi.org/10.1007/s00213-017-4759-6

7. Mardini V, Rohde LA, Ceresér KM, Gubert CM, Silva EG, Xavier F, et al. TBARS and BDNF levels in newborns exposed to crack/cocaine during pregnancy: a comparative study. Braz J Psychiatry. 2017;39(3):263-6. http://doi.org/10.1590/1516-4446-2016-2035

8. Jones W. Cocaine use and the breastfeeding mother. Pract Midwife. 2015;18(1):19-22

9. Rodrigues AP, Dalcim D, Eschenbach M, Ramos VS, Cyrino LAR. Como o crack e outras drogas podem influenciar no desenvolvimento de crianças que foram expostas durante o período gestacional. Pesqui Pratic Psicossociais. 2018;13(1):e1421.

10. Brasil. Ministério da Saúde. Fundação Oswaldo Cruz. Perfil dos usuários de crack e/ou similares no Brasil. Secretaria Nacional de Políticas sobre Drogas, 2013.

11. Oliveira MM, Carmargo PO, Bica SCL, Herreira LF, Furtado AE. Anthropometric measurements follow up of children from women that used drugs during pregnancy. Rev Enferm UFPI. 2018;7(1):10-4. https://doi.org/10.26694/2238-7234.7110-14

12. Brasil. Conselho Nacional do Ministério Público (CNMP). Um olhar mais atento aos serviços de acolhimento de crianças e adolescentes no País. Relatório da Resolução nº 71/2011. Brasília: CNMP, 2013.

13. Aghamohammadi A, Zafari M. Crack abuse during pregnancy: maternal, fetal and neonatal complication. J Matern Fetal Neonatal Med. 2016;29(5):795-7. https://doi.org/10.3109/14767058.2015.1018821

14. Minnes S, Singer L, Min MO, Wu M, Lang A, Yoon S. Effects of prenatal cocaine/polydrug exposure on substance use by age 15. Drug Alcohol Depend. 2014;134:201-10. https://doi.org/10.1016/j.drugalcdep.2013.09.031

15. Minnes S, Min MO, Short EJ, Wu M, Lang A, Yoon S, et al. Executive Function in Children With Prenatal Cocaine Exposure (12-15years). Neurotoxicol Teratol. 2016;57:79-86. https://doi.org/10.1016/j.ntt.2016.07.002

16. Richardson GA, Larkby C, Goldschmidt L, Day NL. Adolescent initiation of drug use: effects of prenatal cocaine exposure. J Am Acad Child Adolesc Psychiatry. 2013;52(1):37-46. https://doi.org/10.1016/j.jaac.2012.10.011

17. Van Baar AL, Soepatmi S, Gunning WB, Akkerhuis GW. Development after prenatal exposure to cocaine, heroin and methadone. Acta Paediatr Suppl. 1994;404:40-6. https://doi.org/10.1111/j.1651-2227.1994.tb13383.x

18. Roué JM, Kuhn P, Maestro ML, Maastrup RA, Mitanchez D, Westrup B, et al. Arch Eight principles for patient-centred and family-centred care for newborns in the neonatal intensive care unit. Arch Dis Child Fetal Neonatal Ed. 2017;102(4):F364-8. https://doi.org/10.1136/archdischild-2016-312180

19. Price A, Cook PA, Norgate S, Mukherjee R. Prenatal alcohol exposure and traumatic childhood experiences: A systematic review. Neurosci Biobehav Rev. 2017;80:89-98. https://doi.org/10.1016/j.neubiorev.2017.05.018

20. Andaloussi ZIL, Taghzouti K, Abboussi O. Behavioural and epigenetic effects of paternal exposure to cannabinoids during adolescence on offspring vulnerability to stress. Int J Dev Neurosci. 2019;72:48-54. https://doi.org/10.1016/j.ijdevneu.2018.11.007

21. Kessler F, Pechansky F. A psychiatric view on the crack phenomenon nowadays. Rev Psiquiatr Rio Gd Sul. 2008;30(2):96-8.https://doi.org/10.1590/S0101-81082008000300003

22. Valentini NC, Saccani R. Infant Motor Scale of Alberta: Validation for a population of Southern Brazil. Rev Paul Pediatr. 2011;29(2):231-8. http://dx.doi.org/10.1590/S0103-05822011000200015

23. Almeida TGA, Caçola PM, Gabbard C, Correr MT, Vilela Junior GB, Santos DCC. Comparisons between motor performance and opportunities for motor stimulation in the home environment of infants from the North and Southwest regions in Brazil. Fisioter Pesqui. 2015;22(2):142-7. http://dx.doi.org/10.590/1809-2950/13306322022015

24. Fleiss JL. Statistical methods for rates and proportions. New York: John Wiley, 1981; p. 212-36.

25. Gasparin M, Silveira JL, Garcez LW, Levy BS. Comportamento motor oral e global de recém-nascidos de mães usuárias de crack e/ou cocaína. Rev Soc Bras Fonoaudiol. 2012;17(4):459-63. https://doi.org/10.1590/S1516-80342012000400016

26. Lima RE, Aleixo AA, Araújo LB, Nascimento CP, Azevedo VMGO. Neuropsychomotor development characteristics of the infants who born from women who used drugs during pregnancy. J Hum Growth Dev. 2018;28(1):27-34. https://doi.org/10.7322/jhgd.134374

27. Almeida CS. O impacto de um programa de intervenção motora participativa ampliando oportunidades de desenvolvimento em bebês de até dezoito meses em três contextos diferentes [dissertation]. [Porto Alegre]: Universidade Federal do Rio Grande do Sul; 2010.

28. Miller-Loncar C, Lester BM, Seifer R, Lagasse LL, Bauer CR, Shankaran S, et al. Predictors of motor development in children prenatally exposed to cocaine. Neurotoxicol Teratol. 2005;27(2):213-20. https://doi.org/10.1016/j.ntt.2004.10.007

29. Conger RD, Donnellan MB. An interactionist perspective on the socioeconomic context of human development. Annu Rev Psychol. 2007;58:175-99. https://doi.org/10.1146/annurev.psych.58.110405.085551

30. Caçola PM, Gabbard C, Montebelo MIL, Santos DCC. Further Development and Validation of the Affordances in the Home Environment for Motor Development - Infant Scale (AHEMD-IS). Phys Ther. 2015;95(6):901-23. https://doi.org/10.2522/ptj.20140011

31. Borba LS, Pereira KRG, Valentini NC. Preditores do desenvolvimento motor e cognitivo de bebês de mães adolescentes e adultas. J Phys Educ. 2016;28(1):e-2811. http://doi.org/10.4025/jphyseduc.v28i1.2811

32. Nobre FSS, Pontes ALFN, Costa CLA, Caçola P, Nobre GC, Valentini NC. Affordances em ambientes domésticos e desenvolvimento motor de pré-escolares. Pensar Prática. 2012;15(3):551¬-820. http://doi.org/10.5216/rpp.v15i3.15412

33. Alexandre DT, Vieira ML. Relação de apego entre crianças institucionalizadas que vivem em situação de abrigo. Psicol Estud. 2004;9(2):207-17. https://doi.org/10.1590/S1413-73722004000200007

34. Andrade AS, Santos DN, Bastos AC, Pedromônico MRM, Almeida-Filho N, Barreto ML. Ambiente familiar e desenvolvimento cognitivo infantil: uma abordagem epidemiológica. Rev Saude Publica. 2005;39(4):606-11. https://doi.org/10.1590/S0034-89102005000400014

35. Bly L. Components of typical and atypical motor development. Laguna Beach: Neuro-Developmental Treatment Association, 2011.

36. Neelon SEB, Oken E, Taveras EM, Rifas-Shiman SL, Gillman MW. Age of achievement of gross motor milestones in infancy and adiposity at age 3 years. Matern Child Health J. 2012;16(5):1015-20. https://doi.org/10.1007/s10995-011-0828-3

37. Gabbard C, Rodrigues L. Affordances for motor development. In: Krebs R, Neto C. Tópicos em desenvolvimento motor na infância e adolescência. Rio de Janeiro: LECSU, 2007.

38. Gerzson LR, Catarino BM, Andara K, Demarco P, Palma MS, Almeida CS. Weekly frequency of a motor intervention program for day care babies. Fisioter Pesqui. 2016;23(2):178-84. https://doi.org/10.1590/1809-2950/14923223022016

39. Danielli CR, Farias BL, Santos DAPB, Neves FE, Tonetta MC, Gerzson LR, et al. Efeitos de um programa de intervenção motora precoce no desenvolvimento de bebês em um abrigo residencial. ConScientiae Saude. 2016;15(3):370-7. https://doi.org/10.5585/conssaude.v15n3.6257